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首页> 外文期刊>Medical Education Online >Effectiveness of hands-on tutoring and guided self-directed learning versus self-directed learning alone to educate critical care fellows on mechanical ventilation – a pilot project
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Effectiveness of hands-on tutoring and guided self-directed learning versus self-directed learning alone to educate critical care fellows on mechanical ventilation – a pilot project

机译：通过动手辅导和指导式自主学习与单独指导学习对重症监护患者进行机械通气教育的有效性–一个试点项目

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BackgroundPhysicians require extensive training to achieve proficiency in mechanical ventilator (MV) management of the critically ill patients. Guided self-directed learning (GSDL) is usually the method used to learn. However, it is unclear if this is the most proficient approach to teaching mechanical ventilation to critical care fellows. We, therefore, investigated whether critical care fellows achieve higher scores on standardized testing and report higher satisfaction after participating in a hands-on tutorial combined with GSDL compared to self-directed learning alone.MethodsFirst-year Pulmonary and Critical Care Medicine (PCCM) fellows (n =6) and Critical Care Internal Medicine (CCIM) (n =8) fellows participated. Satisfaction was assessed using the Likert scale. MV knowledge assessment was performed by administering a standardized 25-question multiple choice pre- and posttest. For 2 weeks the CCIM fellows were exposed to GSDL, while the PCCM fellows received hands-on tutoring combined with GSDL.ResultsNinety-three percentage (6 PCCM and 7 CCIM fellows, total of 13 fellows) completed all evaluations and were included in the final analysis. CCIM and PCCM fellows scored similarly in the pretest (64% vs. 52%, p =0.13). Following interventions, the posttest scores increased in both groups. However, no significant difference was observed based on the interventions (74% vs. 77%, p =0.39). The absolute improvement with the hands-on-tutoring and GSDL group was higher than GSDL alone (25% vs. 10%, p =0.07). Improved satisfaction scores were noted with hands-on tutoring.ConclusionsHands-on tutoring combined with GSDL and GSDL alone were both associated with an improvement in posttest scores. Absolute improvement in test and satisfaction scores both trended higher in the hands-on tutorial group combined with GSDL group.
机译：背景技术医师需要接受广泛的培训才能熟练掌握危重患者的机械呼吸机（MV）管理。引导式自主学习（GSDL）通常是用于学习的方法。但是，目前尚不清楚这是否是向重症监护人教授机械通气的最熟练方法。因此，我们调查了重症监护人是否参加了与GSDL相结合的动手教程，与单独进行自我指导的学习相比，在标准化测试中是否获得了更高的分数并报告了更高的满意度。 （n = 6）和重症监护内科（CCIM）（n = 8）参加了研究。使用李克特量表评估满意度。 MV知识评估是通过管理标准化的25个问题的选择题前后测试来进行的。 CCIM研究员接受了GSDL培训的时间为2周，而PCCM研究员则接受了GSDL的实践指导。结果93％（6名PCCM和7名CCIM研究员，总共13名研究员）完成了所有评估，并纳入了最终评估分析。 CCIM和PCCM研究员在预测中得分相似（64％比52％，p = 0.13）。干预后，两组的测验分数均增加。然而，基于干预没有观察到显着差异（74％对77％，p ＝ 0.39）。动手辅导和GSDL组的绝对改善高于单独的GSDL（25％对10％，p = 0.07）。通过动手补习可以提高满意度得分。结论结合GSDL和GSDL单独进行动手补习都可以提高测验后成绩。在动手实践小组和GSDL小组相结合的情况下，测试和满意度分数的绝对提高都呈上升趋势。

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